metallic coils target xxl  (Stryker)

Journal: Interventional Radiology

Article Title: Successful Hybrid Treatment of Transcatheter Renal Artery Embolization and Open Ligation of Left Renal Vein for Renal Arterial-venous Malformation with Huge Venous Sac: A Case Report

doi: 10.22575/interventionalradiology.2024-0005

Figure Lengend Snippet: a. b: Five years ago; At the time of treatment for symptomatic right rAVM. a. Pretreatment right renal artery angiography shows a cirsoid type of rAVM. b. After embolization with NBCA and microcoils, right renal angiography confirms the disappearance of rAVM and normal renal branches, resulting in the right renal dysfunction. c. After embolization of the right rAVM, the 99mTc-MAG3 scintigraphy reveals that the right kidney was barely functioning (purple line: right, blue line: left). d, e. Contrast-enhanced CT (d: axial, e: coronal) shows a left venous sac up to 9.1 cm (black dotted line) of the left rAVM and a dilated IVC of 4 cm in diameter (blue dotted line). f. In the dorsal view of the 3D reconstructed image of CT, the left renal artery is bifurcated into the dorsal and ventral branches. This 3D image shows that the dorsal branch (white arrow) is involved in the rAVM, although it is difficult to identify arteriovenous shunting point. rAVM: renal arteriovenous malformation; NBCA: N-butyl-2-cyanoacrylate; IVC: inferior vena cava; 3D: three-dimensional

Article Snippet: After confirming that the dorsal branch of the left renal artery was the feeding artery for rAVM , the branch was embolized with a 14 mm × 8 mm vascular plug (Amplatzer Vascular Plug, Abbott, Chicago, IL, USA) followed by coil embolization (AZUR CX18 12 mm × 38 cm × 2, Terumo, Tokyo, Japan, Target XXL 12 mm × 45 cm, 10 mm × 40 cm × 2, 8 mm × 20 cm, Stryker, Kalamazoo, MI, USA) using microcatheter (Carry 2 marker 2.3/2.9 Fr, UTM, Toyohashi, Japan) inside the plug.

Techniques:

Journal: Interventional Radiology

Article Title: Successful Hybrid Treatment of Transcatheter Renal Artery Embolization and Open Ligation of Left Renal Vein for Renal Arterial-venous Malformation with Huge Venous Sac: A Case Report

doi: 10.22575/interventionalradiology.2024-0005

Figure Lengend Snippet: a. Left renal arteriography shows rAVM with a huge venous sac. b, c. After embolization of the feeding artery with the “coil in plug” technique, arteriography shows the disappearance of the rAVM (b) and late visualization of the venous sac (dotted circle) with normal venous flow (c). d. The picture of the surgeon’s view immediately after embolization shows the huge venous sac and the planned left renal vein ligation line (dotted line) which is located anterior to the aorta. e. Angiography after ligation (dotted line) of the renal vein; a collateral drainage vein (arrow) flows toward the left common iliac vein. f, g. Contrast-enhanced CT shows thrombus in the venous sac, partial infarction in the ventral region (f: axial image), and recanalization of the feeding artery (g: 3D reconstructed image). h, i. Left renal arteriography shows recanalization of feeding artery (h). After embolization with microcoils, angiography confirms the disappearance of rAVM. rAVM: renal arteriovenous malformation; 3D: three-dimensional

Article Snippet: After confirming that the dorsal branch of the left renal artery was the feeding artery for rAVM , the branch was embolized with a 14 mm × 8 mm vascular plug (Amplatzer Vascular Plug, Abbott, Chicago, IL, USA) followed by coil embolization (AZUR CX18 12 mm × 38 cm × 2, Terumo, Tokyo, Japan, Target XXL 12 mm × 45 cm, 10 mm × 40 cm × 2, 8 mm × 20 cm, Stryker, Kalamazoo, MI, USA) using microcatheter (Carry 2 marker 2.3/2.9 Fr, UTM, Toyohashi, Japan) inside the plug.

Techniques: Ligation

Journal: Cureus

Article Title: Embolization of Vessels With Irregular Lumen Using the Coil Packing Technique Between the Amplatzer Vascular Plug II Lobes

doi: 10.7759/cureus.60469

Figure Lengend Snippet: A 5 F guiding sheath was inserted via the left common femoral artery, and the tip of the sheath was placed on the right IIA (A). A 10-mm AVP II was deployed in the proximal portion of the right IIA (B). It was confirmed that the blood flow continued even after the AVP II was deployed. A 0.016-inch microwire was inserted through the side of the proximal lobe of the plug, and the microcatheter was placed in the space between the proximal and the central lobes of the plug (C). Prior to plug detachment, the space between the proximal and the central lobes of the plug was tightly filled with a detachable coil (Target XXL 8 mm 40 cm) (D). AVP: Amplatzer Vascular Plug

Article Snippet: Prior to plug detachment, the space between the proximal and the central lobes of the plug was tightly filled with a detachable coil (Target XXL 8 mm 40 cm, Kalamazoo, MI: Stryker) (Figure ).

Techniques: